Postpartum myocardial infarction

A 29 year old woman had a myocardial infarction three weeks post partum. Coronary angiography was performed six days later. No abnormalities were seen initially, but re-injection of the left coronary artery resulted in a dissection that extended through the anterior descending and circumflex branche...

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Bibliographic Details
Published in:British Heart Journal 1989-08, Vol.62 (2), p.154-156
Main Authors: Movsesian, M A, Wray, R B
Format: Article
Language:English
Subjects:
Adult
Aneurysm, Dissecting - complications
Biological and medical sciences
Cardiology. Vascular system
Coronary Angiography
Coronary heart disease
Female
Heart
Humans
Medical sciences
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - etiology
Pregnancy
Puerperal Disorders - etiology
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Summary:A 29 year old woman had a myocardial infarction three weeks post partum. Coronary angiography was performed six days later. No abnormalities were seen initially, but re-injection of the left coronary artery resulted in a dissection that extended through the anterior descending and circumflex branches and a reinfarction. This case suggests that myocardial infarctions occurring in patients with angiographically normal coronary arteries may be caused by dissections that heal by the time of catheterisation.
ISSN:0007-0769
1355-6037
1468-201X
2053-5864
DOI:10.1136/hrt.62.2.154